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NPI Code Detail

MEDICARE: DR. STEPHANIE K LIU MD

MEDICARE:  DR. STEPHANIE K LIU  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianA259510NY

General Provider Information

NPI Number : 1013112721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE K LIU MD
Provider Business Mailing Address
First Line : 10940 SW BARNES RD #375
Second Line :
City : PORTLAND
State : OR
Zip : 97225
Country : US
Telephone Number : 973-972-3606
Fax Number :
Provider Business Practice Location Address
First Line : 10940 SW BARNES RD # 375
Second Line :
City : PORTLAND
State : OR
Zip : 97225-5368
Country : US
Telephone Number : 646-591-7011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 09/11/2015

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Directions to “ DR. STEPHANIE K LIU MD” Practice Location

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